Hematuria and urinary retention

A 58 y/o male complaints of blood in urine for 2 days and urinary retention for 1 day. He has no flank pain but complaints of lower abdominal discomfort. He is hypertensive and is taking medication for that and he drinks alcohol daily in limited amount and smokes 15 cigarettes per day from the young age, no other past medical history. His father died with stomach cancer. No other family history. What investigations should be performed?

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If he is in acute retention of urine and not able to pass urine at all, then per urethral catheterisation need to be done so that urinary bladder can be decomposed Sonography to look for prostate size, bilateral hydronephrosis Blood test complete blood count and renal function test with prostate specific antigen to rule out prostate malignancy Urine routine and culture to rule out urine tract Infection

First put Foley's Catheter to evacuate the bladder Maintain Electrolytes, Inj Meropenem 1gm iv bd Injection Trenexa one amp iv bd and ask for CBC ESR Blood SUGAR HIV RFT USG of whole ABDOMEN, PSA to ruled out ca prostate cause of Haematuria may be Urethritis, CYSTITIS, prostate enlargement, Mass in bladder, Renal or ureteric stone, etc

IT'S A..CASE OF.. URINE..RETENTION..WITH.. HEMATURIA.. ? UTI .. ? RENAL PATHOLOGY.. NEED'S.. * INDWELLING CATHETER.. TO. . EMPTYING BLADDER.. * KFT.. * URINE ROUTINE.. * X-RAY.. KUB .. * USG..ABDOMEN.. * MEANWHILE TREAT SYMPTOMATICALLY..

Tnx Dr Vipin Bihari Jain
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Urine rt urine for culture and sensitivity usg tor/0 cystitis bph malignancy

usg abdomen urine exam prostate biopsy for ca prostate

Find out the cause by USG of KUB region Indwelling catheter to relieve retention Urine for routine and microscopic, culture and sensitivity if infection is suspected Blood urea, creatinine Further management as per reports

X- Ray KUB & USG should be done fist. Obstructive pathology or Cystitis ?. First manage to evaculate loaded bladder with catheter. CBC/ Urine routine and CS...HBA1C....SPA..should be ordered.

First rule out history of trauma do CBC R/o thrombocytopenia, leucocytosis Then USG abdomen and pelvis Liver function test and renal function test Urine routine and culture

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